Organization
DRT MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W SPHEERIS MD (OWNER)
(808) 382-9636
Entity
Organization
Contact information
Practice address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 678-7000
Mailing address
PO BOX 25490, HONOLULU, HI 96825-0490
(808) 536-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10645
HI
Other
Enumeration date
05/20/2008
Last updated
06/10/2008
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